糖尿病并发症防治操在糖尿病肾病血液透析患者中的应用  

Application of prevention and treatment exercises of diabetic complications in diabetic nephropathy patients undergoing hemodialysis

作　　者：王菲[1] 高小莉[2] 武璐璐[2] Wang Fei;Gao Xiaoli;Wu Lulu(Blood Purification Center,Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210022,China;Department of Endocrinology,Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210022,China)

机构地区：[1]南京中医药大学附属南京中医院血液净化中心,210022 [2]南京中医药大学附属南京中医院内分泌科,210022

出　　处：《中华现代护理杂志》2021年第29期3998-4003,共6页Chinese Journal of Modern Nursing

摘　　要：目的分析糖尿病并发症防治操对糖尿病肾病血液透析患者疲乏状况及生活质量的影响。方法采用便利抽样法,选取南京中医药大学附属南京中医院2019年1月—2020年6月收治的60例糖尿病肾病血液透析患者,采用随机数字表法分为对照组与观察组,每组30例。对照组接受常规血液透析治疗护理,观察组在对照组的基础上加用糖尿病并发症防治操运动干预。比较两组患者干预前后的疲乏状况及生活质量。结果干预前,两组患者的疲乏评分比较,差异无统计学意义(P>0.05);干预后观察组患者的疲乏评分低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的健康调查简表评分比较,差异无统计学意义(P>0.05)。干预后,观察组患者的健康调查简表生理功能、活力、情感职能及精神健康4个维度的得分高于对照组,差异均有统计学意义(P<0.05)。结论糖尿病并发症防治操可改善糖尿病肾病血液透析患者的疲乏状态,提高其生活质量,值得临床推广。Objective To analyze the effect of prevention and treatment exercises of diabetic complications on fatigue status and quality of life of diabetic nephropathy patients undergoing hemodialysis.Methods Using the convenient sampling method,a total of 60 diabetic nephropathy patients undergoing hemodialysis who were admitted to Nanjing Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine from January 2019 to June 2020 were selected.According to the random number table method,they were divided into the control group and the observation group,with 30 cases in each group.The control group received routine hemodialysis treatment and nursing,while the observation group added exercise intervention for prevention and treatment of diabetes complications on the basis of the control group.The fatigue status and quality of life of patients of the two groups were compared before and after intervention.Results Before the intervention,there was no statistically significant difference in the fatigue score of patients of the two groups(P>0.05).After the intervention,the fatigue score of patients in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in scores of the MOS 36-item Short From Health Survey(SF-36)of patients between the two groups(P>0.05).After the intervention,the scores of physiological function,vitality,emotional function and mental health in SF-36 of patients in the observation group were higher than those in the control group,and the differences were all statistically significant(P<0.05).Conclusions Prevention and treatment exercises of diabetic complications can improve the fatigue status of patients with diabetic nephropathy undergoing hemodialysis and improve their quality of life,which is worthy of clinical promotion.

关 键 词：糖尿病肾病 糖尿病并发症防治操 血液透析 疲乏 生活质量 

分 类 号：R473.5[医药卫生—护理学]